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Recruiter's Glossary
Industry
Examples:
Deductible
•
ICD-10
•
CPT Codes
Health Insurance Terms
Understanding these terms will help you better evaluate candidates and communicate with hiring managers
TPA
Medicare
In-Network
Mental Health Parity
Deductible
Stop Loss
EOB
Premium
Capitation
Medicaid
Credentialing
HMO
Coinsurance
MLR
DRG
Group Coverage
Population Health
POS
ICD-10
Member Services
Fee-for-Service
UCR
Medical Loss Ratio
Appeals Process
Out-of-Network
Network Adequacy
Grievance Process
Claims Adjudication
EPO
Individual Coverage
Coordination of Benefits
HIPAA
Care Management
ACA
CPT Codes
ERISA
Disease Management
HCPCS
Exchange Plans
Risk Adjustment
Value-Based Care
Reinsurance
Copayment
COBRA
PPO
Prior Authorization
Underwriting
Formulary
Eligibility Verification
Utilization Review
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